Medical City North Hills

4401 Booth Calloway Road, North Richland Hills, TX 76180 · Acute care hospital · Emergency room

These are Medical City North Hills's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

227 of the services we track have a posted price here; 134 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge	Insurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291	$7,553.72	$7,553.72	$800.00 – $8,280.00
Emergency room visit, level 1 (minor) CPT 99281	$1,445.74	$1,445.74	$140.00 – $1,118.00
Emergency room visit, level 2 CPT 99282	$2,282.72	$2,282.72	$140.00 – $1,644.00
Emergency room visit, level 3 (moderate) CPT 99283	$2,792.87	$2,792.87	$200.00 – $2,931.00
Emergency room visit, level 4 CPT 99284	$3,586.63	$3,586.63	$77.04 – $4,379.00
Emergency room visit, level 5 (most severe) CPT 99285	$5,174.15	$5,174.15	$779.00 – $779.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$359.94 – $5,442.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$404.75	$404.75	$54.64 – $404.75
New patient office visit, about 30 minutes CPT 99203	$485.36	$485.36	$364.02 – $364.02
New patient office visit, about 45 minutes CPT 99204	$593.95	$593.95	$445.46 – $445.46
New patient office visit, about 60 minutes CPT 99205	$728.03	$728.03	$546.02 – $546.02
Office consultation, about 40 minutes CPT 99243	not posted		$267.60 – $520.61
Office consultation, about 60 minutes CPT 99244	not posted		$430.13 – $836.79
Office visit, established patient, about 10 to 19 minutes CPT 99212	$404.75	$404.75	$54.64 – $404.75
Office visit, established patient, about 20 to 29 minutes CPT 99213	$485.36	$485.36	$65.52 – $485.36
Office visit, established patient, about 30 to 39 minutes CPT 99214	$593.95	$593.95	$80.18 – $593.95
Office visit, established patient, about 40 to 54 minutes CPT 99215	$728.03	$728.03	$546.02 – $546.02
Office visit, established patient, brief (often a nurse) CPT 99211	$428.00	$428.00	$29.96 – $428.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$67.64 – $532.16
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$82.19 – $647.83

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$265.02	$265.02	$24.20 – $24.20
Abdominal X-ray, 1 view CPT 74018	$619.54	$619.54	$34.05 – $34.05
Ankle X-ray, 3 or more views CPT 73610	$1,619.89	$1,619.89	$113.39 – $1,619.89
Bone density scan (DEXA), hips and spine CPT 77080	$841.67	$841.67	$39.09 – $156.61
Breast ultrasound, one breast, complete CPT 76641	$1,326.44	$1,326.44	$92.85 – $1,326.44
Breast ultrasound, one breast, limited CPT 76642	$1,633.38	$1,633.38	$114.34 – $1,633.38
Chest X-ray, 1 view CPT 71045	$757.05	$757.05	$28.30 – $28.30
Chest X-ray, 2 views CPT 71046	$1,187.71	$1,187.71	$37.13 – $37.13
CT angiogram of the chest (checks for lung clots) CPT 71275	$7,143.02	$7,143.02	$196.07 – $196.07
CT angiogram of the head CPT 70496	$7,050.19	$7,050.19	$493.51 – $7,050.19
CT scan of the abdomen and pelvis, with contrast CPT 74177	$15,106.57	$15,106.57	$312.08 – $1,630.50
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$17,882.15	$17,882.15	$392.20 – $392.20
CT scan of the abdomen and pelvis, without contrast CPT 74176	$12,559.01	$12,559.01	$313.62 – $517.79
CT scan of the abdomen, without contrast CPT 74150	$7,106.17	$7,106.17	$104.75 – $1,013.00
CT scan of the chest, with contrast CPT 71260	$6,139.57	$6,139.57	$188.91 – $188.91
CT scan of the chest, without contrast CPT 71250	$5,365.47	$5,365.47	$115.23 – $115.23
CT scan of the head, without contrast CPT 70450	$5,593.46	$5,593.46	$115.23 – $115.23
CT scan of the neck (cervical spine), without contrast CPT 72125	$5,658.99	$5,658.99	$104.75 – $1,013.00
CT scan of the pelvis, with contrast CPT 72193	$6,680.21	$6,680.21	$341.20 – $401.74
CT scan of the sinuses or face, without contrast CPT 70486	$2,959.89	$2,959.89	$154.52 – $245.18
Diagnostic mammogram, both breasts CPT 77066	$1,367.01	$1,367.01	$114.38 – $114.38
Diagnostic mammogram, one breast CPT 77065	$1,176.37	$1,176.37	$82.35 – $1,176.37
Foot X-ray, 3 or more views CPT 73630	$1,692.41	$1,692.41	$118.47 – $1,692.41
Hand X-ray, 3 or more views CPT 73130	$1,692.41	$1,692.41	$118.47 – $1,692.41
Knee X-ray, 3 views CPT 73562	$2,440.39	$2,440.39	$170.83 – $2,440.39
Leg or arm vein ultrasound, both sides CPT 93970	$4,345.74	$4,345.74	$211.44 – $211.44
Leg or arm vein ultrasound, one side CPT 93971	$4,345.74	$4,345.74	$106.88 – $929.00
Lower back X-ray, 2 or 3 views CPT 72100	$1,349.40	$1,349.40	$67.06 – $84.77
MRI of both breasts, without and with contrast CPT 77049	not posted		$395.55 – $635.92
MRI of the abdomen, without and with contrast CPT 74183	$10,844.07	$10,844.07	$383.35 – $383.35
MRI of the brain, without and with contrast CPT 70553	$12,336.83	$12,336.83	$328.11 – $1,630.50
MRI of the brain, without contrast CPT 70551	$7,289.34	$7,289.34	$202.15 – $1,321.00
MRI of the knee or other leg joint, without contrast CPT 73721	$17,040.89	$17,040.89	$1,192.86 – $17,040.89
MRI of the lower back (lumbar spine), without contrast CPT 72148	$7,178.46	$7,178.46	$313.62 – $517.79
MRI of the mid back (thoracic spine), without contrast CPT 72146	$6,245.49	$6,245.49	$215.75 – $215.75
MRI of the neck (cervical spine), without contrast CPT 72141	$7,178.46	$7,178.46	$220.06 – $220.06
MRI of the pelvis, without and with contrast CPT 72197	$10,844.07	$10,844.07	$388.82 – $388.82
MRI of the shoulder or other arm joint, without contrast CPT 73221	$17,040.89	$17,040.89	$1,192.86 – $17,040.89
Neck X-ray, 2 or 3 views CPT 72040	$1,134.82	$1,134.82	$44.53 – $44.53
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$2,497.39	$2,497.39	$154.52 – $245.18
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,497.39	$2,497.39	$204.97 – $259.12
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$2,010.62	$2,010.62	$115.23 – $115.23
Screening mammogram, both breasts CPT 77067	$653.09	$653.09	$87.18 – $445.63
Shoulder X-ray, 2 or more views CPT 73030	$2,050.51	$2,050.51	$143.54 – $2,050.51
Transvaginal pregnancy ultrasound CPT 76817	$575.19	$575.19	$102.18 – $102.18
Transvaginal ultrasound CPT 76830	$2,497.39	$2,497.39	$154.52 – $245.18
Ultrasound of the abdomen, complete CPT 76700	$2,497.39	$2,497.39	$104.75 – $502.12
Ultrasound of the neck or thyroid CPT 76536	$2,510.92	$2,510.92	$104.75 – $502.12
Wrist X-ray, 3 or more views CPT 73110	$2,088.30	$2,088.30	$146.18 – $2,088.30
X-ray of the lower back, 4 or more views CPT 72110	$1,702.98	$1,702.98	$89.51 – $113.16

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,333.79	$1,333.79	$8.88 – $8.88
Blood culture CPT 87040	$592.47	$592.47	$10.32 – $10.32
Blood draw (venipuncture) CPT 36415	$62.52	$62.52	$9.81 – $9.81
BNP test (heart failure) CPT 83880	$1,574.95	$1,574.95	$110.25 – $1,574.95
C-reactive protein (CRP) test CPT 86140	$330.47	$330.47	$5.18 – $5.18
Chlamydia test (DNA/NAAT) CPT 87491	$599.91	$599.91	$35.09 – $35.09
Complete blood count (CBC) with differential CPT 85025	not posted		$8.47 – $8.47
Complete blood count (CBC), automated CPT 85027	$766.65	$766.65	$6.79 – $6.79
Comprehensive metabolic panel (blood test) CPT 80053	$1,673.20	$1,673.20	$10.55 – $10.55
COVID-19 PCR test CPT 87635	$67.61	$67.61	$53.88 – $53.88
D-dimer test (blood clots) CPT 85379	$1,580.92	$1,580.92	$6.11 – $54.77
Drug screen, instrument chemistry CPT 80307	$336.97	$336.97	$62.14 – $62.14
Ferritin (iron stores) test CPT 82728	$512.08	$512.08	$13.63 – $13.63
Free T4 (thyroid) test CPT 84439	$537.40	$537.40	$8.49 – $8.49
General health panel (blood tests) CPT 80050	$2,932.56	$2,932.56	$45.36 – $45.36
Glucose (blood sugar) test CPT 82947	$446.59	$446.59	$3.63 – $3.63
Gonorrhea test (DNA/NAAT) CPT 87591	$599.91	$599.91	$32.43 – $32.43
Hemoglobin A1c test CPT 83036	$693.69	$693.69	$8.98 – $8.98
Hepatitis C antibody test CPT 86803	$829.16	$829.16	$8.56 – $76.66
HIV-1/HIV-2 antigen and antibody test CPT 87389	$296.24	$296.24	$24.08 – $24.08
Iron test CPT 83540	$501.68	$501.68	$35.12 – $501.68
Kidney function panel CPT 80069	$1,475.21	$1,475.21	$6.61 – $6.61
Lipase test (pancreas) CPT 83690	$668.39	$668.39	$7.23 – $7.23
Lipid panel, cholesterol and triglycerides CPT 80061	$1,245.97	$1,245.97	$13.39 – $13.39
Liver function panel CPT 80076	$1,613.65	$1,613.65	$6.73 – $6.73
Magnesium test CPT 83735	$340.92	$340.92	$23.86 – $340.92
Obstetric blood test panel CPT 80055	not posted		$47.81 – $47.81
Partial thromboplastin time (PTT), clotting test CPT 85730	$668.39	$668.39	$3.61 – $32.83
Pregnancy blood test (hCG), quantitative CPT 84702	$1,436.51	$1,436.51	$100.56 – $1,436.51
Prothrombin time (PT/INR), clotting test CPT 85610	$668.39	$668.39	$46.79 – $668.39
PSA (prostate specific antigen), free CPT 84154	$372.16	$372.16	$11.03 – $98.54
PSA (prostate specific antigen), total CPT 84153	$1,049.49	$1,049.49	$18.39 – $18.39
Rapid strep test CPT 87880	$529.95	$529.95	$9.92 – $89.42
Sed rate (ESR) test CPT 85652	$529.95	$529.95	$2.70 – $2.70
TB skin test CPT 86580	$376.63	$376.63	$26.36 – $376.63
Thyroid stimulating hormone (TSH) CPT 84443	$622.23	$622.23	$15.80 – $15.80
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,225.12	$1,225.12	$49.76 – $49.76
Troponin test (heart damage) CPT 84484	$1,283.19	$1,283.19	$89.82 – $1,283.19
Urinalysis, automated, with microscope CPT 81001	$562.70	$562.70	$3.33 – $3.33
Urinalysis, automated, without microscope CPT 81003	$190.54	$190.54	$13.34 – $190.54
Urinalysis, manual, with microscope CPT 81000	not posted		$4.38 – $4.38
Urinalysis, manual, without microscope CPT 81002	$358.76	$358.76	$25.11 – $358.76
Urine culture, colony count CPT 87086	$549.31	$549.31	$8.07 – $8.07
Urine pregnancy test CPT 81025	$774.08	$774.08	$9.04 – $9.04
Vitamin B12 test CPT 82607	$468.92	$468.92	$13.94 – $13.94
Vitamin D test CPT 82306	$1,384.40	$1,384.40	$96.91 – $1,384.40

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$4,345.74	$4,345.74	$214.44 – $214.44
ECG tracing only (no interpretation) CPT 93005	$1,314.44	$1,314.44	$92.01 – $1,314.44
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$8,660.97	$8,660.97	$372.65 – $1,514.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.53 – $1,514.00
Holter monitor, up to 48 hours CPT 93224	not posted		$57.44 – $1,514.00
Left heart catheterization CPT 93452	$51,985.10	$51,985.10	$7,017.99 – $51,985.10
Left heart catheterization with coronary angiogram CPT 93458	$51,985.10	$51,985.10	$7,017.99 – $51,985.10
Nuclear stress test (heart perfusion imaging) CPT 78452	$11,733.37	$11,733.37	$1,623.62 – $2,938.37
Treadmill stress test, complete CPT 93015	not posted		$199.21 – $1,514.00

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$3,465.05 – $19,055.00
Appendix removal, laparoscopic CPT 44970	not posted	$8,024.00 – $19,055.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$510.77 – $8,485.00
Carpal tunnel release CPT 64721	not posted	$692.94 – $7,828.00
Colonoscopy with biopsy CPT 45380	not posted	$450.72 – $5,773.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$429.26 – $1,210.10
Colonoscopy, diagnostic CPT 45378	not posted	$948.00 – $5,773.00
Colposcopy with biopsy CPT 57454	not posted	$443.94 – $5,773.00
Cystoscopy (bladder scope) CPT 52000	not posted	$1,266.00 – $1,266.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $11,209.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$137.20 – $5,442.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$8,858.00 – $8,858.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$948.00 – $37,859.65
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,483.21 – $3,483.21
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,995.00 – $8,485.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,983.29 – $19,055.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,209.12 – $18,490.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,257.19 – $1,257.19
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $7,168.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$450.72 – $5,773.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$484.09 – $5,773.00
Prostate biopsy CPT 55700	not posted	$685.44 – $4,723.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$948.00 – $25,750.00
Removal of a breast lump, open surgery CPT 19120	not posted	$1,011.84 – $11,209.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$8,024.00 – $8,024.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,324.00 – $5,773.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$1,266.00 – $5,773.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$3,796.00 – $18,490.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$2,636.00 – $2,636.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$8,024.00 – $24,385.87
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$5,381.00 – $11,209.00
Total hip replacement CPT 27130	not posted	$10,122.00 – $55,933.34
Total knee replacement CPT 27447	not posted	$948.00 – $55,933.34
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$2,214.00 – $5,773.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $5,442.00
Vasectomy CPT 55250	not posted	$3,649.39 – $7,828.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted	$2,152.00 – $50,489.70
Fetal non-stress test CPT 59025	not posted	$16.57 – $2,636.00
IUD insertion CPT 58300	not posted	$35.85 – $36.96
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted	$948.00 – $47,784.37
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted	$2,152.00 – $45,538.63

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$927.92 – $991.60
C-section, without complications MS-DRG 788	not posted	$649.00 – $649.00
Chest pain MS-DRG 313	not posted	$1,023.00 – $8,748.54
COPD flare-up, with major complications MS-DRG 190	not posted	$1,023.00 – $12,313.37
COPD flare-up, without complications MS-DRG 192	not posted	$7,889.19 – $8,031.34
Fainting (syncope) MS-DRG 312	not posted	$9,962.96 – $10,142.48
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$10,948.36 – $11,145.63
Heart failure, with major complications MS-DRG 291	not posted	$13,685.99 – $13,932.58
Heart failure, without complications MS-DRG 293	not posted	$7,202.75 – $7,332.53
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$90,449.79 – $92,079.52
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$1,196.00 – $19,864.18
Irregular heartbeat, without complications MS-DRG 310	not posted	$1,023.00 – $7,333.45
Kidney failure, with complications MS-DRG 683	not posted	$10,000.90 – $10,181.09
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$9,402.07 – $9,571.48
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$1,196.00 – $1,196.00
Normal newborn care MS-DRG 795	not posted	$3,895.20 – $3,965.38
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$995.00 – $4,750.00
Pneumonia, with complications MS-DRG 194	not posted	$1,023.00 – $9,538.37
Pneumonia, with major complications MS-DRG 193	not posted	$13,962.38 – $14,213.95
Pneumonia, without complications MS-DRG 195	not posted	$7,767.26 – $7,907.21
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,064.00 – $1,064.00
Sepsis, with major complications MS-DRG 871	not posted	$995.00 – $4,750.00
Sepsis, without major complications MS-DRG 872	not posted	$11,333.13 – $11,537.33
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$9,956.64 – $10,136.04
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$9,132.01 – $9,296.55
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$11,215.72 – $11,417.80
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$1,196.00 – $13,536.29
Vaginal delivery, without complications MS-DRG 807	not posted	$8,180.03 – $8,327.41
Weight loss surgery, without complications MS-DRG 621	not posted	$19,500.00 – $26,000.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$6,648.05	$6,648.05	$897.49 – $6,648.05
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$1,266.00 – $5,442.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$1,287.60 – $5,442.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$276.00 – $5,442.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$892.44 – $18,490.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$318.81 – $620.23
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$218.75 – $5,773.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$380.46 – $740.17

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$246.78 – $1,006.00
Sleep study with CPAP titration CPT 95811	not posted	$1,927.00 – $3,130.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$1,927.00 – $3,130.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$1,494.54	$1,494.54	$380.46 – $740.17

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$236.10	$236.10	$16.53 – $236.10
Physical therapy evaluation, low complexity CPT 97161	$679.93	$679.93	$85.49 – $225.12
Physical therapy evaluation, moderate complexity CPT 97162	$1,013.16	$1,013.16	$90.22 – $90.22
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$271.16	$271.16	$18.98 – $271.16
Therapeutic activities, 15 minutes CPT 97530	$174.03	$174.03	$12.18 – $174.03

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Psychotherapy, 45 minutes CPT 90834	not posted		$134.00 – $134.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$181.91	$181.91	$12.73 – $181.91
IV hydration, each additional hour CPT 96361	$231.53	$231.53	$16.21 – $231.53
IV hydration, first hour CPT 96360	$792.97	$792.97	$55.51 – $792.97
IV push injection of a drug, first CPT 96374	$1,117.95	$1,117.95	$78.26 – $1,117.95
IV push injection, each additional drug CPT 96375	$181.91	$181.91	$12.73 – $181.91

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$120.70	$120.70	$8.45 – $120.70
Dexamethasone injection, per 1 mg HCPCS J1100	$82.02	$82.02	$5.74 – $82.02
Fentanyl injection, per 0.1 mg HCPCS J3010	$106.65	$106.65	$7.47 – $106.65
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$83.87	$83.87	$5.87 – $83.87
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$101.23	$101.23	$75.92 – $75.92
Morphine injection, up to 10 mg HCPCS J2270	$50.86	$50.86	$3.56 – $50.86
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$21.74	$21.74
Propofol injection, per 10 mg HCPCS J2704	$718.10	$718.10	$50.27 – $718.10
Saline IV solution, 1000 ml HCPCS J7030	$238.58	$238.58	$3.61 – $3.61

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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